<form action="<?php echo $this->url(); ?>" method="POST">
    <h2><?php echo $this->translate('Profile'); ?></h2>
	<table class="form">
	    <tr>
		    <td>
		        <label><?php echo $this->translate('Firstname'); ?></label>
		        <input type="text" name="firstName" value="<?php echo $this->data['firstName']; ?>" />
		        <?php if (isset($this->errors['firstName']) && $this->errors['firstName']) : ?>
		        <ul class="errors"><li><?php echo $this->errors['firstName']; ?></li></ul>
		        <?php endif; ?>
		    </td>
	    </tr>
	    <tr>
		    <td>
		        <label><?php echo $this->translate('Middlename'); ?></label>
		        <input type="text" name="middleName" value="<?php echo $this->data['middleName']; ?>" />
		        <?php if (isset($this->errors['middleName']) && $this->errors['middleName']) : ?>
		        <ul class="errors"><li><?php echo $this->errors['middleName']; ?></li></ul>
		        <?php endif; ?>
		    </td>
	    </tr>
	    <tr>
		    <td>
		        <label><?php echo $this->translate('Lastname'); ?></label>
		        <input type="text" name="lastName" value="<?php echo $this->data['lastName']; ?>" />
		        <?php if (isset($this->errors['lastName']) && $this->errors['lastName']) : ?>
		        <ul class="errors"><li><?php echo $this->errors['lastName']; ?></li></ul>
		        <?php endif; ?>
		    </td>
	    </tr>
	    <tr>
		    <td>
		        <label><?php echo $this->translate('Password'); ?></label>
		        <input type="password" name="password" value="" />
		        <?php if (isset($this->errors['password']) && $this->errors['password']) : ?>
		        <ul class="errors"><li><?php echo $this->errors['password']; ?></li></ul>
		        <?php endif; ?>
		    </td>
	    </tr>
	</table>
	<input style="margin-left: 8px;" type="submit" name="save" value="<?php echo $this->translate('Save'); ?>" />
</form>